Description
The video presents a lecture by Lyndon Mason, a consultant at the Liverpool University Hospital Foundation Trust specializing in orthopedic treatment, focusing primarily on posterior malleolar fractures. He expresses gratitude to his colleagues and emphasizes the collaborative nature of his research over the past five years. He shares insights into the evolution of understanding and treating these injuries, highlighting the poor historical outcomes of surgeries addressing posterior malleolar fractures prior to 2017, as established by systematic reviews. He points out the importance of articular step-off in determining outcomes and suggests that size alone is not a factor in recovery.
Mason details the different types of posterior malleolar fractures and introduces a new classification system that he developed, discussing various injury mechanisms and treatment methods. He outlines the necessity of using CT scans for accurate diagnosis, as X-rays often fail to capture essential details regarding fracture types. Furthermore, he explains surgical approaches used to address these fractures, explaining the importance of achieving an anatomical reduction to facilitate healing and improve functional outcomes.
The lecture culminates in discussing improved patient outcomes associated with fragment-specific fixation and emphasizes ongoing research into managing the articular surface to address specific fracture types and improve recovery. Mason concludes by thanking the organizers and expressing hope for future discussions on the subject.